在患有帕金森病和相关疾病的患者中,喉膜结构和腹障碍
Eunjee Lee1, Gyu Jin Kim1, Hyewon Ryu1
1Department of Physical Medicine and Rehabilitation, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, 22 Gwanpyeong-ro 170 Beon-gil Dongan-gu, Anyang, Gyeonggi-do, 14068, Republic of Korea.
Dysphagia
|October 30, 2023
概括
帕金森病患者的喉肌肉变化与吞困难有关. 喉壁厚度和宽度的测量可以帮助诊断食障碍并预测这些患者的渴望.
科学领域:
- 神经学 神经学
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
背景情况:
- 帕金森病和相关疾病 (PRD) 与喉肌肉变化有关.
- 这些结构性喉变化与缺食症症状之间的关系尚未完全理解.
研究的目的:
- 评估PRD患者喉中的结构变化和收缩力.
- 定义喉测量 (喉壁厚度[PWT],喉宽度休息时[PWR],喉最短宽度吞时[PWS]) 作为潜在的消化不良的诊断工具.
主要方法:
- 测量了PWT,PWR和PWS,使用侧侧部X光学图和视频光学吞研究.
- 独立的t测试比较了PRD和对照组之间的喉测量.
- 肯德尔相关性测试分析了放射学数据,食障碍尺度 (PAS,DOSS) 和霍恩和雅尔 (HY) 尺度之间的关系.
主要成果:
- 与对照组相比,PRD患者表现出较小的PWT和较大的PWR (p <0.05).
- 食障碍尺度 (PAS,DOSS) 与放射学数据 (PWT,PWS) 和HY尺度 (p <0.05) 相对应.
- 确定了PWT (4.05毫米) 和PWR (16.05毫米) 的最佳切断点,用于预测PRD患者的吸收.
结论:
- PWT,PWR和PWS可以估计喉肌肉缩和收缩强度.
- 结合PWT和PWR提供了一个简单的床边指标,用于预测PRD的吞障碍.
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